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Meta-Analysis
. 2012 Dec;42(3):471-82.
doi: 10.1007/s12020-012-9744-6. Epub 2012 Jul 20.

Glucose control in diabetes: the impact of racial differences on monitoring and outcomes

Jennifer A Campbell  1 , Rebekah J Walker, Brittany L Smalls, Leonard E Egede
Affiliations
Meta-Analysis

Glucose control in diabetes: the impact of racial differences on monitoring and outcomes

Jennifer A Campbell et al. Endocrine. 2012 Dec.

Abstract

Type 2 diabetes is the seventh leading cause of death in the US and is projected to increase in prevalence globally. Minorities are disproportionately affected by diabetes and data suggest that clinical outcomes consistently fall below American Diabetes Association recommendations. The purpose of this systematic review was to examine ethnic differences in self-monitoring and outcomes in adults with type 2 diabetes. Medline was searched for articles published between January 1990 and January 2012 by means of a reproducible strategy. Inclusion criteria included (1) published in English, (2) targeted African Americans, Hispanic, or Asian adults, ages 18+ years with type 2 diabetes, (3) cross-sectional, cohort, or intervention study, and (4) measured change in glycemic control, BP, lipids, or quality of life by race. Twenty-two papers met the inclusion criteria and were reviewed. Overall, significant racial differences and barriers were found in published studies in diabetes management as it pertains to self-monitoring and outcomes. African Americans tend to consistently exhibit worse outcomes and control when compared to other minority populations and non-Hispanic Whites. In conclusion, significant racial differences and barriers exist in diabetes management as it pertains to self-monitoring and outcomes when compared to non-Hispanic Whites. Explanatory and intervention studies are needed to determine the mechanisms and mediators of these differences and strategies to reduce these disparities. In addition, more research is needed to investigate the impact of racial differences in self-monitoring and outcomes on quality of life.

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Conflict of interest statement

Conflict of interest: The authors declare that they have no conflict of interest.

References

    1. Centers for Disease Control and Prevention. National diabetes fact sheet: national estimates and general information on diabetes and prediabetes in the United States, 2011. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention; 2011.
    1. Hogan P, Dall T, Nikolov P. Economic costs of diabetes in the US in 2002. Diabetes Care. 2003;26:917–932. - PubMed
    1. Boyle J, Honeycutt A, Narayan V, Hoerger J, Geiss S, Chen H, Thompson J. Projection of diabetes burden through 2050: impact of changing demography and disease prevalence in the U.S. Diabetes Care. 2011;24:1936–1940. - PubMed
    1. Diabetes Disparities Among Racial and Ethnic Minorities. AHRQ Publication No.02-P007. [Accessed 28 May 2012];Agency for Healthcare Research and Quality. 2001 http://www.ahrq.gov/research/diabdisp.htm.
    1. International Diabetes Federation. IDF Diabetes Atlas. 5th. Brussels, Belgium: International Diabetes Federation; 2011. http://www.idf.org/diabetesatlas.